The sonographic OODA loop: Proposing a beginner’s model for learning point-of-care ultrasound
PDF

Keywords

POCUS
Cognitive
Visuospatial
Psychomotor
OODA Loop
Education

How to Cite

1.
Baron A, Hodgson J, Beirne G, Quinton A, Bendall J. The sonographic OODA loop: Proposing a beginner’s model for learning point-of-care ultrasound. Australasian Journal of Paramedicine [Internet]. 2022Sep.19 [cited 2022Oct.7];19. Available from: https://ajp.paramedics.org/index.php/ajp/article/view/948

Abstract

Unlike practitioners of formal diagnostic sonography, point-of-care ultrasound users must often acquire basic ultrasound skills in far shorter time frames, with less time dedicated to obtaining mastery; therefore, they often rely on conceptual models to achieve this. There is currently no introductory model which point-of-care ultrasound users might adopt to describe the cognitive processes involved in acquiring a basic ultrasound image, and in learning point-of-care ultrasonography. We propose the ‘sonographic OODA loop’ in reference to Boyd’s observe–orient–decide–act (OODA) decision loop, as a model which can be used initially by ultrasound-naive clinicians to understand the cognitive and motor processes that occur when they acquire ultrasound images, and hopefully achieve greater insight into their early practice.

https://doi.org/10.33151/ajp.19.948
PDF

References

Buerger AM, Clark KR. Point-of-care ultrasound: a trend in health care. Radiol Technol 2017;89:127–38. PMID: 29298917.

Nicholls D, Sweet L, Hyett J. Psychomotor skills in medical ultrasound imaging: an analysis of the core skill set. J Ultrasound Med 2014;33:1349–52.

Brattain LJ, Telfer BA, Dhyani M, Grajo JR, Samir AE. Machine learning for medical ultrasound: status, methods, and future opportunities. Abdom Radiol 2018;43:786–99. https://doi.org/10.1007/s00261-018-1517-0.

Micheller D, Peterson WJ, Cover M, Smith G, Chapman M, Theyyunni N, et al. Defining a theory-driven ultrasound curriculum for prehospital providers. Air Med J 2019;38:285–8. https://doi.org/10.1016/j.amj.2019.03.018.

Nicholls D, Sweet L, Muller A, Hyett J. Teaching psychomotor skills in the twenty-first century: revisiting and reviewing instructional approaches through the lens of contemporary literature. Med Teach 2016;38:1056–63.

Boyd JR. The essence of winning and losing: the OODA loop sketch. Quantico, VA: U.S. Marine Corps, 1995.

Richards C. Boyd’s OODA loop. Proc Lean Softw Syst Conf 2011. 2011;127–36.

Boyd JR. Destruction and creation. 1976. Available at: http://goalsys.com/books/documents/DESTRUCTION_AND_CREATION.pdf.

Weingart S. Podcast 171 – OODA loops [podcast]. 2016 Apr 2 [cited 2018 Dec 1]. Available at: http://emcrit.org/emcrit/ooda-loops/.

Dieden A, Carlson E, Gudmundsson P. Learning echocardiography – what are the challenges and what may favour learning? A qualitative study. BMC Med Educ 2019;19:1–9.

Wulf G, Shea C, Lewthwaite R. Motor skill learning and performance: a review of influential factors. Med Educ 2010;44:75–84.

Sweller J, Ayres P, Kalyuga S. Cognitive load theory. New York: Springer, 2011.

Moses A, Weng W, Orchanian-Cheff A, Cavalcanti RB. Teaching point-of-care ultrasound in medicine. Can J Gen Intern Med 2020;15:13–29.

Beaulieu Y, Laprise R, Drolet P, Thivierge RL, Serri K, Albert M, et al. Bedside ultrasound training using web-based e-learning and simulation early in the curriculum of residents. Crit Ultrasound J 2015;7:1–8.

Cawthorn TR, Nickel C, O’Reilly M, Kafka H, Tam JW, Jackson LC, et al. Development and evaluation of methodologies for teaching focused cardiac ultrasound skills to medical students. J Am Soc Echocardiogr 2014;27:302–9. http://dx.doi.org/10.1016/j.echo.2013.12.006.

Ganel T, Goodale MA. Visual control of action but not perception requires analytical processing of object shape. Nature 2003;426:664–7.

Freud E, Culham JC, Namdar G, Behrmann M. Object complexity modulates the association between action and perception in childhood. J Exp Child Psychol 2019;179:56–72. https://doi.org/10.1016/j.jecp.2018.11.004.

James KH, Kersey AJ. Dorsal stream function in the young child: an fMRI investigation of visually guided action. Dev Sci 2018;21:1–16.

Soska KC, Johnson SP. Development of three-dimensional object completion in infancy. Child Dev 2008;79:1230–6.

Eppler MA. Development of manipulatory skills and the deployment of attention. Infant Behav Dev 1995;18:391–405.

Soska KC, Adolph KE, Johnson SP. Systems in development: motor skill acquisition facilitates three-dimensional object completion. Dev Psychol 2010;46:129–38.

Savion-Lemieux T, Penhune VB. The effect of practice pattern on the acquisition, consolidation, and transfer of visual-motor sequences. Exp Brain Res 2010;204:271–81.

Wanzel KR, Hamstra SJ, Anastakis DJ, Matsumoto ED, Cusimano MD. Effect of visual-spatial ability on learning of spatially-complex surgical skills. Lancet 2002;359:230–1.